Background: This prospective clinical study was performed to compare the clinical outcomes between patients with cruciate-retaining (CR) and cruciate-substituting (CS) total knee arthroplasty (TKA). Methods: from July 2018 to June 2019, 52 patients (32 females and 20 males) with a total of 70 knees with a mean age of 61.11 years (range, 46 to 78 years) were enrolled in this study. Patients were randomly divided into two groups including group A (Cruciate-Retaining Total Knee Arthroplasty (CR-TKA) underwent 35 CR TKA, and group B (Cruciate-Substituting Total Knee Arthroplasty (CS-TKA) underwent 35 CS total knee Arthroplasty. The evaluation parameters included knee scores, pain score, functional scores, radiographs of the knees and ROM (Range of motion). Regular follow up done at 4 weeks, 12weeks and then every 6 months. All data were collected and analyzed with the help of suitable statistical parameters. Results: Both designs give equal and good results. We preferred CR Knees in relatively young patients and patients with smaller knees as its bone conserving implant and CS knees in patients with Inflammatory arthritis, patient with severe Varus or flexion deformity, when tibia cut is more than 10 mm and when intra-operatively findings suggestive of non-functional posterior Cruciate ligament. However, in our short term randomized interventional study Posterior Cruciate substitution Total Knee Arthroplasty had a marginally better outcome than the posterior Cruciate retaining in terms of range of motion but it needs a long-term analysis. Key words: Cruciate substitution Total Knee Arthroplasty, Cruciate-Retaining Total Knee Arthroplasty, Knee scores, Pain score

Background: This prospective clinical study was performed to compare the Functional outcomes between Bioabsorbable Interference Screw And Endobutton Fixation On Femur In Arthroscopic Anterior Cruciate Ligament Reconstruction .Methods: from April 2018 to June 2019, 126 patients (16 females and 110 males) aged 18 to 50 years were enrolled in this study. Patients were randomly divided into two groups including Anterior Cruciate Ligament (ACL) reconstruction with Bioabsorbable interference screw fixation called group A (N=63) and other group B that underwent ACL reconstruction with Endobutton fixation (N=63). Functional outcomes were compared for TL (Tegner Lysholm) Score preoperatively, at 3 months and 6 months. All data were collected and analyzed with the help of suitable statistical parameters.Results: The endobutton fixation yielded better outcome in terms of instant stability of the graft and functional outcome at the end of 6 month. We are currently awaiting long term results to verify whether or not these early results persist. Key words: Bioabsorbable Interference Screw, Endobutton Fixation, Anterior Cruciate Ligament, TL Score.

Background: Depending on the severity of your ACL injury, treatment may include rest and rehabilitation exercises to help you regain strength and stability or surgery to replace the torn ligament followed by rehabilitation. Methods of femoral fixation in arthroscopic ACL reconstruction surgery are widely discussed in the literature. The cortical suspension technique is a popular option with a variety of adjustable loop and fixed closed loop devices available in the market. Aim: To evaluate short term outcome of arthroscopic ACL reconstruction using fixed closed loop fixation (CLF) and adjustable loop fixation (ALF) techniques. Study Design: Hospital based Prospective randomized comparative interventional study. Materials and Methods: 60 cases were included in this study, in which 30 cases were treated arthroscopically by using CLF and remaining 30 cases were operated arthroscopically by using ALF. Clinical outcome was assessed using Lachman and pivot shift, and results were graded using the International Knee Documentation Committee. Functional outcome was evaluated by using Lysholm score up to 8 months. Result: Lachman grading (mm) pre-operative in CLF group was 2.84±0.35 mm and in ALF group was 2.72±0.31. Maximum patients were from IKDC 2+ grade. 70.00% in CLF group and 56.67% in ALF group. Lysholm score pre-operative in CLF group was 63.00±1.29 and in ALF group was 62.90±1.86. Lachman grading (mm) post-operative in CLF group was 0.31±0.02 mm and in ALF group was 0.35±0. 06mm.post-operative 16.67% patients belong IKDC 2+ grade in CLF group and in 10.00% patients in ALF group. Lysholm score post-operative in CLF group was 92.36±0.95 and in ALF group was 91.9 ± 0.91There were no statistically significant differences. Conclusion:We concluded that in femoral fixation of ACL graft both CLF and ALF techniques may provide secure fixation, equal reduction of graft laxity, and similar functional outcome in ACL deficient knee.